Alexis Griffin, FNP | |
175 Ocean Pkwy, Brooklyn, NY 11218-2568 | |
(917) 589-9181 | |
Not Available |
Full Name | Alexis Griffin |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 175 Ocean Pkwy, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205348851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 649091 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 342169 (New York) | Primary |
Entity Name | Prominis Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841323771 PECOS PAC ID: 9537124441 Enrollment ID: O20041119000601 |
Mailing Address | Practice Location Address |
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Alexis Griffin, FNP 175 Ocean Pkwy, Brooklyn, NY 11218-2568 Ph: (917) 589-9181 | Alexis Griffin, FNP 175 Ocean Pkwy, Brooklyn, NY 11218-2568 Ph: (917) 589-9181 |
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